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Organization

HATHAWAY-SYCAMORES CHILD AND FAMILY SERVICES

Active
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Organization

HATHAWAY-SYCAMORES CHILD AND FAMILY SERVICES

Active
Other names
Sycamores-Covina, Sycamores
Organization subpart
No

Provider details

NPI number
Authorized official
DEBBIE MANNERS (PRESIDENT AND CEO)
(626) 395-7100
Entity
Organization

Contact information

Practice address
1411 N GRAND AVE, STE. 100, COVINA, CA 91724-1001
(626) 388-9050
Mailing address
840 N AVENUE 66, LOS ANGELES, CA 90042-1508
(626) 395-7100

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
103TC0700X
Clinical Psychologist
1041C0700X
Clinical Social Worker
106H00000X
Marriage & Family Therapist
163WP0808X
Psychiatric/Mental Health Registered Nurse
164X00000X
Licensed Vocational Nurse
167G00000X
Licensed Psychiatric Technician
171M00000X
Case Manager/Care Coordinator
172V00000X
Community Health Worker
174400000X
Specialist
175T00000X
Peer Specialist
2084P0800X
Psychiatry Physician
208D00000X
General Practice Physician
225400000X
Rehabilitation Practitioner
Primary
374700000X
Technician

Other

Enumeration date
05/03/2007
Last updated
12/20/2023
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